Cost-effectiveness of population-based screening for microalbuminuria in people with type 2 diabetes mellitus in India.

ABSTRACT:

Objectives

Patients with diabetes have a higher risk of developing chronic kidney disease (CKD). Early detection of CKD through microalbuminuria screening, followed by treatment, delays the progression of CKD. We evaluated the cost-effectiveness of population-based screening of microalbuminuria among normotensive type 2 diabetes mellitus patients aged >40 years compared with no screening scenario using a decision tree combined with the Markov model.

Methods

We considered two scenarios: Scenario I - dipstick microalbuminuria followed by spot-urine albumin-creatinine ratio (ACR) and serum creatinine in sequence; Scenario II - spot urine ACR plus serum creatinine. A mathematical cohort of the target population was simulated over a lifetime horizon with an annual cycle. Data for

SUBMITTER: Mathan Kumar S 

PROVIDER: S-EPMC11579677 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature